Please Fill Out the Following from COMPLETELY, as the staff of Park Avenue LASEK will be getting this form back, INCLUDING DR. CHYNN, and they cannot give you accurate advice about your situation unless they know this information. You will receive a Personal Recommendation from Dr. Chynn himself about which procedure is right for you given your age, occupation, and special concerns. Additionally you will receive all of the following valuable benefits:
Upon REQUEST during your Free Consultation at Park Avenue LASEK, we will give you the following (please remember to ASK us if you want any item):